Healthcare Provider Details

I. General information

NPI: 1780763789
Provider Name (Legal Business Name): THOMPSON & THORNE, DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18358 ALABAMA HWY 75
HENAGAR AL
35978
US

IV. Provider business mailing address

PO BOX 57
HENAGAR AL
35978-0057
US

V. Phone/Fax

Practice location:
  • Phone: 256-657-5141
  • Fax: 256-657-5157
Mailing address:
  • Phone: 256-657-5141
  • Fax: 256-657-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4265
License Number StateAL

VIII. Authorized Official

Name: DR. BARRY SCOTT THOMPSON
Title or Position: CO-OWNER
Credential: DMD
Phone: 256-657-5141